title: [Importance of selenium homeostasis in chronic and end-stage kidney diseases].
abstract: Selenium is an essential trace element for the human body with a significant antioxidant effect. Selenium deficiency and excess are both detrimental for proper functioning of the human body. The possible association between selenium deficiency and acute or chronic renal disease, along with their complications has been less intensively investigated, however, there are firm data showing that selenium deficiency and renal failure increase the risk of both coronary artery disease and total mortality. Further studies revealed that selenium deficiency increases the risk of death due to infection in patients treated with hemodialysis through dysfunction of the immune system. However, there are no data whether the imbalance of selenium metabolism, especially selenium deficiency, could cause chronic kidney disease or renal failure. As far as results of selenium measurements, there is convincing evidence that protein loss and renal replacement treatment reduce serum selenium levels. Despite some contradictory results obtained from various studies regarding selenium deficiency in chronic kidney diseases, it seems that selenium supplementation may be beneficial in many patients with severe or end-stage kidney disease including those treated with dialysis.
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar II. Belgyógyászati Klinika, Geriátriai Tanszéki Csoport Budapest Szent Imre Oktató Kórház Nephrologia-Hypertonia Profil Budapest B. Braun Avitum Dialízis Hálózat 1. sz. Dialízisközpont Budapest Halmi u. 20-22. 1115.
authors.forename: István
authors.initials: I
authors.lastname: Kiss
mesh_terms: D000975:Antioxidants / Q000378:metabolism*; D003324:Coronary Artery Disease / Q000209:etiology / Q000401:mortality; D006706:Homeostasis; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood / Q000378:metabolism*; D051436:Renal Insufficiency, Chronic / Q000378:metabolism; D012307:Risk Factors; D012643:Selenium / Q000097:blood / Q000172:deficiency / Q000378:metabolism*; D014131:Trace Elements / Q000097:blood / Q000172:deficiency / Q000378:metabolism*
chemical_list: D000975:Antioxidants; D014131:Trace Elements; D012643:Selenium
keywords: cardiovascular risk; cardiovascularis kockázat; chronic renal disease; hemodialysis; krónikus vesebetegség; selenium deficiency; szelénhiány; vesepótló kezelés